Zia Vista Therapy, Llc | |
1181 Mall Dr Ste E Las Cruces NM 88011-8105 | |
(505) 573-6294 | |
Not Available |
Full Name | Zia Vista Therapy, Llc |
---|---|
Speciality | Social Worker |
Location | 1181 Mall Dr Ste E, Las Cruces, New Mexico |
Authorized Official Name and Position | Angelina M Valdespino (OWNER) |
Authorized Official Contact | 5055736294 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Zia Vista Therapy, Llc 7528 Vista De Oeste Pl Las Cruces NM 88012-0786 Ph: (505) 573-6294 | Zia Vista Therapy, Llc 1181 Mall Dr Ste E Las Cruces NM 88011-8105 Ph: (505) 573-6294 |
NPI Number | 1801425756 |
---|---|
Provider Enumeration Date | 04/03/2020 |
Last Update Date | 04/03/2020 |
Certification Date | 04/03/2020 |
Medicare PECOS PAC ID | 9234532623 |
---|---|
Medicare Enrollment ID | O20210722002039 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801425756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Angelina M Valdespino |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568742492 PECOS PAC ID: 5991108714 Enrollment ID: I20210730000958 |
Fyi Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1320 S. Solano Drive, Las Cruces, NM 88001 Phone: 505-522-4004 Fax: 505-522-9017 | |
Healty Start Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 W Griggs Ave, Las Cruces, NM 88005 Phone: 575-524-0767 Fax: 575-528-5539 | |
Clear Lake Studio, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 Anita Dr, Las Cruces, NM 88001 Phone: 915-345-5489 Fax: 575-541-3690 | |
Linda C Daniels Phd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1990 E Lohman Ave, Suite 202, Las Cruces, NM 88001 Phone: 575-528-6166 | |
Grabasch Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 N Alameda Blvd, Las Cruces, NM 88005 Phone: 419-204-6612 Fax: 419-204-6612 | |
4 Directions Integrative Mental Health, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 125 W Boutz Rd, Las Cruces, NM 88005 Phone: 575-523-5222 Fax: 575-523-8031 | |
Epoch Behavioral Healthcare Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 S Main St, Las Cruces, NM 88001 Phone: 855-469-3242 Fax: 855-324-2329 |